Jenna Elizabeth Erickson, CNM. IBCLC
Advanced Practice Midwife in Balaton, MN. Individual provider (NPI-1).
NPI number1982243903
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1982243903
- Entity type
- Individual (NPI-1)
- Name
- Jenna Elizabeth Erickson
- Credential
- CNM. IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2019
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 542 | MN | Yes |
| 163WL0100X | Registered Nurse, Lactation Consultant | R-193011-1 | MN |
Other names
- Jenna Elizabeth Hansen (Former Name)
Practice location
425 241st StBalaton, MN 56115-1107
Phone 507-430-0636
Mailing address
425 241st StBalaton, MN 56115-1107
Phone 507-430-0636
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